| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.71 | $294.86 | $523.05 | |
Aetna
| Professional | $58.71 | $102.71 | $209.12 | |
Anthem BCBS
| Professional | $77.69 | $127.04 | $202.69 | |
Cigna
| Professional | $79.92 | $145.66 | $254.82 | |
Harvard Pilgrim
| Professional | $90.27 | $160.22 | $276.89 | |
Martin's Point
| Facility | $94.29 | $293.35 | $447.61 | |
Martin's Point
| Professional | $58.71 | $102.70 | $176.85 | |
United
| Professional | $127.54 | $175.78 | $267.38 |